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Updated: Jun 5, 2026

The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool
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The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool

Published on: June 30, 2014

Web-based self-management for patients with multiple sclerosis: a practical, randomized trial.

Deborah M Miller1, Shirley M Moore, Robert J Fox

  • 1Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, Ohio 44195, USA. millerd@ccf.org

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|January 11, 2011
PubMed
Summary
This summary is machine-generated.

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This study explored electronic personal health records (e-PHRs) for multiple sclerosis (MS) self-management. While feasible, e-PHR-enhanced care did not significantly improve patient well-being or healthcare use compared to usual care.

Area of Science:

  • Neurology
  • Digital Health
  • Chronic Disease Management

Background:

  • Electronic personal health records (e-PHRs) are underutilized for self-management in complex neurological disorders.
  • Multiple Sclerosis (MS) management requires effective patient self-care strategies.

Purpose of the Study:

  • To assess an Internet-based self-management system using e-PHRs for patients with MS.
  • To determine the impact of e-PHR-enabled self-management on patient well-being and healthcare utilization.

Main Methods:

  • A randomized controlled trial was conducted over 12 months.
  • Participants with MS were assigned to either usual care (web-based messaging) or an enhanced intervention including e-PHR features.
  • Intervention included self-monitoring, symptom management, and communication tools.

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Main Results:

  • The study demonstrated the feasibility of a randomized trial using e-PHRs for MS self-management.
  • No significant differences were observed in primary endpoints or healthcare utilization between the groups.
  • Both groups actively utilized the provided system components.

Conclusions:

  • e-PHR-enabled self-management did not augment multidisciplinary MS care in this trial.
  • The limited difference between the intervention and usual care may explain the lack of significant findings.
  • Further research is needed to optimize e-PHR interventions for chronic neurological conditions.